1. E.R.Copy !req
2. Previously on E.R.Copy !req
3. We had something.Copy !req
4. - Are you his mother?
- Neighbour. He's a friend of my son's.Copy !req
5. - Any way to contact the parents?
- He just has a father. I left a message.Copy !req
6. We found some unusual bruising
on your son, Mr. Fossen.Copy !req
7. - Do you know about that?
- No.Copy !req
8. I'm afraid Ben's gonna have to stay
here for a few days, Mr. Fossen.Copy !req
9. What?
You're not doing this to us!Copy !req
10. - No! Dad! Please!
- You bastard!Copy !req
11. Please!Copy !req
12. You're returning my application?Copy !req
13. Did you honestly think
that you'd make the first cut?Copy !req
14. E.R. 7x22 "RAMPAGE"Copy !req
15. How'd she do?Copy !req
16. Up from 3:30 to 6.
Then she wanted to feed at 7.Copy !req
17. Lie down. Take a nap.Copy !req
18. - Are you leaving?
- Yeah.Copy !req
19. Please don't go.Copy !req
20. I have to.Copy !req
21. I want you to stay.Copy !req
22. So do I.Copy !req
23. Can't you call in sick?Copy !req
24. - I wish I could.
- Just do it.Copy !req
25. I'll leave the van.Copy !req
26. What was that?Copy !req
27. It's 8:00. They're demolishing
the old textile building on State.Copy !req
28. That'll wake you up.Copy !req
29. Exactly our problem. They blow up
a manufacturing plant to build a mall.Copy !req
30. What's wrong with a mall?Copy !req
31. Fifty cents.Copy !req
32. All we do is buy and sell.
We don't produce nothing.Copy !req
33. See? What do you do?Copy !req
34. - What?
- For a living?Copy !req
35. - I'm a doctor.
- Okay. Bad example.Copy !req
36. What are you talking about?
You're building the mall.Copy !req
37. Not for long.Copy !req
38. Mark Ainsley, 12 years old.
GSW through the upper left arm.Copy !req
39. - Is the neuro-circ still intact?
- Complains of pain and paresthesia.Copy !req
40. - Can you squeeze my hand?
- It hurts.Copy !req
41. - What happened?
- Open fire in a foster-care facility.Copy !req
42. - Foster care?
- Twelve down.Copy !req
43. - Can you feel this?
- A little.Copy !req
44. - Think about a vascular study.
- Got it.Copy !req
45. Mark! Mark! Take that one. Go!Copy !req
46. - It's still in me. It still hurts.
- We're gonna help you out.Copy !req
47. Entrance wound only.
Palpable in the sub-Q. Got this, Dave?Copy !req
48. As long as there's no
compartment syndrome.Copy !req
49. - I can't breathe.
- Slow your breathing down.Copy !req
50. Maria Fredrikkson,
with significant blood loss.Copy !req
51. BP, 90/palp. Tachy at 120.Copy !req
52. - Any belly pain, ma'am?
- No. My leg is cold.Copy !req
53. - Foot pulses are diminished.
- Did they get him?Copy !req
54. - Who?
- The man with the gun.Copy !req
55. - I don't know. Did you see him?
- We were hiding in a closet.Copy !req
56. - But he just shot through the door.
- Foot is pale. Poor capillary refill.Copy !req
57. - Trauma 1, coming through!
- Who's on for Trauma?Copy !req
58. - We're bringing everybody in!
- Two more of saline, order pre-op labs.Copy !req
59. - Doesn't she have an ischemic leg?
- Get through to Surgery!Copy !req
60. - We have an 8-year-old girl in arrest.
- Where was she hit?Copy !req
61. Shot in the head. Intubated.
Bradyed down to 30, then lost her pulse.Copy !req
62. - Pupils fixed and dilated.
- P.E.A. Let's get her epi.Copy !req
63. You just get here? Nice way to start.Copy !req
64. Well, I was gonna call in sick.Copy !req
65. E.R.Copy !req
66. Dr. Weaver, gluteal gunshot wound.
He needs a cystourethrogram.Copy !req
67. - Try a rigid sigmoidoscopy.
- He should see a surgeon.Copy !req
68. Yeah, get in line. Where's Benton?Copy !req
69. - Charge to 60.
- You getting a rhythm?Copy !req
70. Degenerated into V-fib. Clear.Copy !req
71. Another 120.
Looks like brain-stem failure.Copy !req
72. 104's on the radio with the last one.
GSW to the chest.Copy !req
73. - Is he hypotensive?
- No change.Copy !req
74. - 120 again.
- No.Copy !req
75. - Fine. Bring him in.
- Is it the same gunman?Copy !req
76. Yeah. He shot the gardener
on his way out.Copy !req
77. Clear.Copy !req
78. - Surprised he had any bullets left.
- Push another. 3 of epi.Copy !req
79. - Want to try mannitol?
- Couldn't hurt. 30 grams.Copy !req
80. - Do you need an angiogram?
- No, I don't think so. No bruit or thrill.Copy !req
81. Is that Helen?Copy !req
82. - Who?
- Helen. She's new.Copy !req
83. Foster-mom bailed on her.Copy !req
84. I don't know.Copy !req
85. - Clear!
- Expanding hematoma.Copy !req
86. No pulse deficit.
They catch the guy yet?Copy !req
87. - No. Dispatch doesn't know anything.
- He was mad at Mrs. Buckley.Copy !req
88. What's that?Copy !req
89. He was waving the gun at Mrs. Buckley,
yelling, then shot her.Copy !req
90. - Did we get a Mrs. Buckley?
- DOA.Copy !req
91. Gram of cefazolin,
follow with neuro exam.Copy !req
92. We've also got a GSW to the lateral
malleolus in Exam 2 still waiting.Copy !req
93. Portable x-ray and a Doppler scope. Make
sure the bullet didn't damage the bone.Copy !req
94. Go ahead. I got this.Copy !req
95. Let's get an AP lateral
to the left humerus.Copy !req
96. - Did you turn it in?
- What?Copy !req
97. Weaver said my application was
incomplete. Missing my peer reference.Copy !req
98. - Right, yeah. I'll do that today.
- It's due today.Copy !req
99. - Yeah. I'll do it.
- Okay, thanks.Copy !req
100. I need you here!Copy !req
101. Femoral artery's pumping blood.
I can't control it without my finger in it.Copy !req
102. Get me surgeons. I got three unstable
patients and a fourth coming in.Copy !req
103. Anspaugh's gonna take this one.
I'll be back.Copy !req
104. - Dr. Weaver?
- Yeah.Copy !req
105. Officer Napolitano. I need someone
to pull out a bullet for the crime lab.Copy !req
106. - Which patient?
- Calf wound.Copy !req
107. He's stable. We'll get to him soon.Copy !req
108. - As long as we get evidence.
- Find the shooter.Copy !req
109. We'll get him.Copy !req
110. I was in the bathroom. I heard a loud
explosion. It scared me for a second.Copy !req
111. But then I remembered that they
were tearing down that building.Copy !req
112. Then I heard all this screaming, and...Copy !req
113. BP, 132/78. Pulse, 96.
He was out front in the bushes.Copy !req
114. Took us a while to find him.
We were inside.Copy !req
115. - Kerry, what happened?
- Lunatic shot at a foster-care facility.Copy !req
116. - Why?
- Who knows? Go. Curtain 3. Go!Copy !req
117. You were right to stay.Copy !req
118. I should have gone to help,
done something.Copy !req
119. No. You did the right thing.
I'll be right back.Copy !req
120. Can I get a cigarette?
I need a cigarette.Copy !req
121. Yeah. I'll see what I can do.Copy !req
122. Kerry, I've got a hypotensive social
worker. Probably just stress...Copy !req
123. - ... but you should check it out.
- Thanks.Copy !req
124. Hello.Copy !req
125. - I read your letter.
- Good. I was wondering.Copy !req
126. Dr. Legaspi, Dr. Romano,
line three, for you.Copy !req
127. Tell him I'll call him back.Copy !req
128. She'll call you right back.Copy !req
129. Anyway, I appreciate the sentiment.Copy !req
130. "Sentiment"?Copy !req
131. He says for you to get on the line now.
He needs to talk to you about a transfer.Copy !req
132. She's busy. He should be too. We could
have as many as eight GSWs going.Copy !req
133. Nine. Carjack victim.Copy !req
134. We're swamped with this.
Tell them to divert to Mercy.Copy !req
135. Mercy said no ET As 9 to 10.Copy !req
136. Why do they bother calling?Copy !req
137. Anyway, thank you...Copy !req
138. but I don't think
that anything's changed.Copy !req
139. Right. Okay.Copy !req
140. - Okay. I should get back.
- Yeah.Copy !req
141. Chuny, grab Cleo. The kid
she's with isn't gonna make it.Copy !req
142. Clear.Copy !req
143. Asystole.Copy !req
144. - How long has she been down?
- At least an hour since the shooting.Copy !req
145. Dr. Finch, can you take
a carjack victim rolling up?Copy !req
146. Go ahead. This is a fatal wound.Copy !req
147. - What is it?
- GSW to the abdomen.Copy !req
148. Someone should have told me
that today was gun day.Copy !req
149. Time of death, 9:12.Copy !req
150. - This the carjacking?
- Yeah. Mr. Jeffries.Copy !req
151. GSW to the left lateral abdomen.Copy !req
152. - You need to be careful.
- He has AIDS.Copy !req
153. - How's his pressure?
- 140/82.Copy !req
154. - Okay, good. That's good.
- What do you got?Copy !req
155. Entrance wound below the costal margin
and the anterior axillary line.Copy !req
156. No exit. Mr. Jeffries is HIV-positive.Copy !req
157. I was getting out of the car.
He shot me anyway.Copy !req
158. - Frank, what's open?
- Nothing.Copy !req
159. - I got a GSW.
- Don't make you special today.Copy !req
160. - Mark called in. Trauma 1.
- That's fine. Let's go.Copy !req
161. Let's set him up.
Get him a portable chest.Copy !req
162. - Hey!
- Roger?Copy !req
163. - Stay away from my wife!
- What?Copy !req
164. You stay away from my wife!
She told me everything.Copy !req
165. You had your chance.
She's my wife now.Copy !req
166. - I don't know what you're-
- I'll take care of Carla.Copy !req
167. - Frank, call Security!
- Get him out of here!Copy !req
168. - Stay away!
- I haven't touched her!Copy !req
169. - I'll kick your ass!
- Knock it off. Come on.Copy !req
170. Nothing happened.Copy !req
171. Chuny, get a trauma panel.
Type and cross for four.Copy !req
172. - He really nailed you.
- Mind your business!Copy !req
173. - Is this the carjacking?
- Yes.Copy !req
174. - Sir, I'm sorry about that.
- Sir? Sir, I'm Officer Napolitano.Copy !req
175. You told the officer
your assailant was Caucasian?Copy !req
176. - Yeah, that's right.
- Did he wear a yellow windbreaker?Copy !req
177. Yeah, you know.
How did you know that?Copy !req
178. I think he might have shot some people
at a foster-care facility.Copy !req
179. - Same guy?
- And...Copy !req
180. three.Copy !req
181. - Can you remember your license plate?
- No.Copy !req
182. - Pressure's down to 90.
- Two liters saline, wide open.Copy !req
183. - But it's a black Acura Legend, correct?
- What's wrong?Copy !req
184. You'll have to do this later.
Check with DMV.Copy !req
185. - Might be bleeding in your abdomen.
- How do you know for sure?Copy !req
186. - Let's get an ultrasound in here.
- It's a black Acura Legend?Copy !req
187. What? Yeah.Copy !req
188. We have to put a tube in your chest
to help you breathe.Copy !req
189. Prep the chest.Copy !req
190. - You okay from here?
- Got it.Copy !req
191. - Lidocaine.
- Pulse ox, 98.Copy !req
192. - You almost missed your deadline.
- What?Copy !req
193. I was eating breakfast and saw
your med school reinstatement form...Copy !req
194. on your counter.Copy !req
195. - What did you do?
- Ten blade.Copy !req
196. You were lucky. Lady in the registrar's
office has a daughter who is a nurse.Copy !req
197. The registrar's office?Copy !req
198. Told her you had a bunch of night shifts,
and she slipped it in with the others.Copy !req
199. - 32 French.
- Wait.Copy !req
200. - You handed it in?
- Yeah. This morning.Copy !req
201. - Luka, why'd you do that?
- It was due Monday.Copy !req
202. - I didn't want to turn it in.
- I thought you forgot.Copy !req
203. - No. I changed my mind.
- Why?Copy !req
204. Now they'll come after me
for summer tuition.Copy !req
205. - I can help you with the money.
- I don't want help.Copy !req
206. - I just wanted to let it go.
- Then why did you fill it out?Copy !req
207. I'll get you some Xeroform.Copy !req
208. Lesion by the shoulder. The bullet passed
mid-shaft. This is much more proximal.Copy !req
209. Look at the lateral.
It's in front of the bone.Copy !req
210. - Could be soft-tissue sarcoma.
- Get a biopsy.Copy !req
211. - Is your kid stable?
- Yeah. I just have to do an FNA.Copy !req
212. Clear the room. Next round coming in.
Two more gunshot wounds.Copy !req
213. - One chest, one neck.
- Two more? It's not even 10:00.Copy !req
214. - It's the same guy again.
- What?Copy !req
215. CPD tracked a carjacked Acura
to a private residence.Copy !req
216. Found a mother and son shot inside.Copy !req
217. - Did they get the shooter?
- Not yet.Copy !req
218. - Do we have the ORs?
- Cleaning two now.Copy !req
219. - Peter still needs to go up.
- That leaves one.Copy !req
220. And Anspaugh
should be finishing soon.Copy !req
221. Psych nurses aren't trained
to handle ostomy care.Copy !req
222. If they need ostomy care,
he can check his own damn bag.Copy !req
223. We need you.
Two more GSWs rolling up.Copy !req
224. - In a minute.
- Abby, let's go outside.Copy !req
225. And when I call you,
you get on the phone!Copy !req
226. She was helping
with the mass casualty.Copy !req
227. I needed to clear Recovery for the barrage
of gunshot wounds you keep accepting!Copy !req
228. I'm not taking responsibility for post-op
complications in the psych ward!Copy !req
229. Well, then we'll have to find somebody
who's interested in responsibility.Copy !req
230. - What is that supposed to mean?
- DeRaad can finish your shift.Copy !req
231. - What?
- Nice knowing you.Copy !req
232. GSW through the right lateral neck.
Airway's clear.Copy !req
233. - What's his pressure?
- 110/70.Copy !req
234. - Hi. What's your name?
- Ted.Copy !req
235. - Ted, can you swallow for me?
- Where's my mom?Copy !req
236. - Is all this his?
- Dr. Greene?Copy !req
237. No. His mom was wrapped around him.
The bullet went through her into his neck.Copy !req
238. - Mommy!
- Dr. Greene.Copy !req
239. Get Dr. Weaver to scope him.
He may need an esophagram.Copy !req
240. We're gonna take you inside.
Okay, Ted?Copy !req
241. I think this is the lady that brought in
your abused kid last week.Copy !req
242. Simple gunshot wound to the back.
BP, 128/74.Copy !req
243. - Mrs. Shayatovich.
- Where's Ted? Where's Ted?Copy !req
244. He's gonna be okay.
There's another doctor looking at him.Copy !req
245. Please, help him. He was bleeding.
His neck was bleeding.Copy !req
246. Who shot you, Mrs. Shayatovich?Copy !req
247. Derek. I told the policeman
it was Derek Fossen.Copy !req
248. Your neighbor.Copy !req
249. He was looking for Ben.
I told him I didn't know where he was.Copy !req
250. He said if I was gonna take his boy away
he was gonna take mine from me.Copy !req
251. Please, please help him.
He was bleeding.Copy !req
252. We're gonna take care of him.
Let's get a HemoCue and a pulse ox.Copy !req
253. Roll her, roll her, roll her!Copy !req
254. Oh, God! That looks like
about two liters.Copy !req
255. May be an aorta-esophageal fistula.Copy !req
256. - She's out.
- Okay, bag her.Copy !req
257. I'll intubate her inside.Copy !req
258. Get a thoracotomy tray
and all the O-negative we got.Copy !req
259. Fossen. Derek Fossen. F-O-S-S-E-N.Copy !req
260. Looks like it was contained until it
blew through the esophagus.Copy !req
261. - Do you have an address?
- He lives next door to her.Copy !req
262. - Can't get a pressure.
- Squeeze in two units of O-neg.Copy !req
263. I'm in.Copy !req
264. We put his son into protective custody.
His name is Ben.Copy !req
265. He should be somewhere
in the foster-care system.Copy !req
266. - Lost the pulse.
- All right. Rib spreader.Copy !req
267. Find the son.
That's who he's looking for.Copy !req
268. Abby, get the infuser.Copy !req
269. Pressure's up to 120 after two liters.Copy !req
270. - Do you need this?
- No.Copy !req
271. Liver and spleen are intact.Copy !req
272. So maybe I'm not bleeding.Copy !req
273. No. You've got a slow leak
from a small vessel.Copy !req
274. - You're gonna need surgery.
- I don't want surgery.Copy !req
275. Look, we'll make a midline incision, find
the bleeding artery and then tie it off.Copy !req
276. Doc, I'm already dying.Copy !req
277. Your infection might slow your recovery
but it's routine surgery.Copy !req
278. People live with HIV.Copy !req
279. I know that. I've been fighting
this disease since 1986.Copy !req
280. I responded to the AZT, and the
protease inhibitors were a miracle.Copy !req
281. They gave me an extra five years.Copy !req
282. But my T cells have been
dropping since July.Copy !req
283. My viral load's gone through the roof,
even with all these antivirals.Copy !req
284. Mr. Jeffries, I need your consent.Copy !req
285. No.Copy !req
286. I had pneumocystis three months ago.Copy !req
287. - If we don't operate, you'll die.
- I am already dead, doc.Copy !req
288. This may just allow me to skip
a very painful end.Copy !req
289. - Another Satinsky.
- Unit eight is up.Copy !req
290. - Heart's not filling. Clamp the aorta.
- Greene, the injury is high and posterior.Copy !req
291. - Just trying to bring you more light.
- That'll help.Copy !req
292. - Can't you get your finger in the hole?
- If I could see it.Copy !req
293. More light.Copy !req
294. - Just call for FFP and platelets.
- Forget it, forget it.Copy !req
295. - I can't close this defect.
- Another amp of epi.Copy !req
296. She'll go out of thoracic aorta
and exsanguinate in seconds.Copy !req
297. - Let's try bypass.
- It's too late for that. Call it.Copy !req
298. Time of death, 11:40.Copy !req
299. 0 for 2 and it's not even lunch.Copy !req
300. We pull the sample out with a needle.
And then we look under a microscope.Copy !req
301. - You think it's cancer?
- It could be scar tissue. Or a cyst.Copy !req
302. Cancer's only one possibility.Copy !req
303. My mom died of cancer.Copy !req
304. - How old was she?
- 35. I'm 12.Copy !req
305. Let's see the biopsy first. That way
we can talk about what we know...Copy !req
306. as opposed to what we don't know.Copy !req
307. Do you have anybody
that you'd like me to call?Copy !req
308. - I'm in foster care.
- Yeah, I know. Foster parents?Copy !req
309. - No. I'm between homes.
- Right.Copy !req
310. - She make it?
- No.Copy !req
311. - This guy's on a rampage.
- They didn't catch him yet?Copy !req
312. I don't know.
They're gonna go to his house.Copy !req
313. So much violence, huh?Copy !req
314. - Were you gonna tell me?
- Tell you what?Copy !req
315. - I heard a rumor.
- Oh, yeah? A good one?Copy !req
316. Dr. Rosen called.Copy !req
317. You know, from the emergency
department at Northwestern.Copy !req
318. - You took the message?
- He wanted to set up an appointment.Copy !req
319. - Just looking at options.
- Are you leaving?Copy !req
320. I still have to make up
three months of my residency.Copy !req
321. - Well, after that?
- I don't know.Copy !req
322. I'm not even being considered
for Chief Resident.Copy !req
323. I have to write this damn
peer review for Chen.Copy !req
324. They're not even talking me
about an Attending position.Copy !req
325. Have you talked to Weaver
about an Attending position?Copy !req
326. - No.
- Why not?Copy !req
327. Because if she wanted me,
she would have asked me about it.Copy !req
328. Maybe she doesn't
think you're interested.Copy !req
329. Maybe I'm not.Copy !req
330. Carter, is your cirrhosis patient
ready to go to the floor?Copy !req
331. No. I have to do a paracentesis first.Copy !req
332. - We need the bed.
- Got it.Copy !req
333. What's the chest tube output
on the gardener?Copy !req
334. 300 cc's. He's third in line for a tele.Copy !req
335. - You still angry at me?
- I wasn't angry.Copy !req
336. - You seemed angry.
- It's my fault. I should have ripped it up.Copy !req
337. I thought you wanted
to go back to school.Copy !req
338. Maybe I do. Just not now.Copy !req
339. - What happened?
- Nothing.Copy !req
340. You don't want to be
a doctor anymore?Copy !req
341. I don't know.Copy !req
342. - You don't know?
- I don't know.Copy !req
343. It's $40,000 in tuition.
It's lost wages.Copy !req
344. It's another six years
of me killing myself.Copy !req
345. Then it's over and you'll be
doing what you want.Copy !req
346. Maybe I'm doing what I want.Copy !req
347. If that were true,
you would have never started.Copy !req
348. Maybe I realized being a nurse is good
enough. Is it not good enough for you?Copy !req
349. No, no. It's fine.Copy !req
350. Okay. You did great, Ted.Copy !req
351. The bullet went through a muscle
in your neck. But you're gonna be okay.Copy !req
352. - Can I see my mom now?
- Let me find out.Copy !req
353. - Do you know your dad's work number?
- No.Copy !req
354. - Okay. Do you know where he works?
- Abysco.Copy !req
355. - Abysco? Is that a company?
- He makes binders.Copy !req
356. He makes binders. All right.
You want to draw some more?Copy !req
357. - Yeah.
- I'll be right back.Copy !req
358. - The mom didn't make it?
- The proximal aorta was shredded.Copy !req
359. I have to track down his father.
What do you want to tell the boy?Copy !req
360. - I'll stall.
- Dr. Greene?Copy !req
361. This him?Copy !req
362. Yeah. He has a record?Copy !req
363. One arrest. Domestic dispute.
He hit his girlfriend.Copy !req
364. He wasn't at his house?Copy !req
365. - I'll let you know when we have him.
- What about his son?Copy !req
366. We tracked down the foster parents.
A patrol car's picking him up now.Copy !req
367. - I think he's coming here.
- What?Copy !req
368. Well, he was pissed at the neighbor
for bringing him to the ER.Copy !req
369. - You took his kid away from him, right?
- Right.Copy !req
370. - Thanks, Frank.
- I'll send in some extra units.Copy !req
371. Mark, he couldn't come here. He
knows there's too many cops around.Copy !req
372. He hasn't displayed a lot
of sound judgment so far.Copy !req
373. - What is he shooting with?
- Semiautomatic pistol, 13-round clip.Copy !req
374. - He's been reloading.
- Maybe picked it up at Kmart on the way.Copy !req
375. - It's not the guns. People kill people.
- Yeah, right.Copy !req
376. - But not as fast.
- He would have found another weapon.Copy !req
377. Fourteen shots so far, Frank.
Six deaths.Copy !req
378. You can't affect mass murder
with a Chinese throwing star.Copy !req
379. Rescue 78 coming in with an injured cop.
Motorist dragged him for half a block.Copy !req
380. There you go. He hit him with a car.Copy !req
381. - That's assault with a deadly weapon.
- Shut up!Copy !req
382. Free air under the diaphragm.
Must have nicked the bowel too.Copy !req
383. His crit's down to 23.
I can't dilute him much further.Copy !req
384. I checked his viral load.
It's over 50,000.Copy !req
385. He'll die of an opportunistic
infection within a year.Copy !req
386. Well, that doesn't mean we should
help him commit suicide.Copy !req
387. He didn't shoot himself.Copy !req
388. If we let him refuse surgery,
it's the same thing.Copy !req
389. - Get a court order then.
- He'll be dead by the time it's approved.Copy !req
390. Then it's his choice.Copy !req
391. All right.Copy !req
392. I went over there.Copy !req
393. She was upset. She was crying.Copy !req
394. She came on to me. I didn't do anything.
I didn't want to do anything.Copy !req
395. Maybe she felt guilty and she
told Roger and she put a spin on it.Copy !req
396. - And you wouldn't put a spin on it.
- No.Copy !req
397. Then why didn't you tell me?Copy !req
398. - To avoid this.
- What?Copy !req
399. You looking at me
like I did something wrong.Copy !req
400. I see. You didn't trust me
and I'm supposed to trust you.Copy !req
401. - I didn't think it was worth getting into.
- At least I know where I stand.Copy !req
402. Cleo, that's not what I meant
and you know it.Copy !req
403. - Peter, his pressure's dropping.
- Go.Copy !req
404. Run in another liter of saline.Copy !req
405. - Any chest pain or dizziness?
- No.Copy !req
406. Let's get two units from the blood bank
and transfuse each over an hour.Copy !req
407. No, no, no. I don't want
a blood transfusion.Copy !req
408. Your hematocrit is drifting
to a dangerously low level.Copy !req
409. I understand.Copy !req
410. No. Thank you.Copy !req
411. What about your family?Copy !req
412. I mean, if you don't care about yourself,
what about them?Copy !req
413. I haven't spoken to my mother
in over 30 years.Copy !req
414. I outlived the two people
that I loved in the world.Copy !req
415. I've lived longer than I expected.Copy !req
416. Just let me go.Copy !req
417. I'm ready.Copy !req
418. - Hi.
- Hi.Copy !req
419. - How are you feeling?
- My neck hurts.Copy !req
420. I'll ask one of the nurses to come
give you some medicine.Copy !req
421. Can I see my mom?Copy !req
422. Not yet. I'm trying to reach your dad.Copy !req
423. Can I stay with her until you do?Copy !req
424. I don't think so.
She's having an operation right now.Copy !req
425. Is she okay?Copy !req
426. We're having a little trouble trying to get
the bleeding stopped around her heart.Copy !req
427. - She was hurt bad.
- I know.Copy !req
428. - You hungry?
- No.Copy !req
429. - Where's all this blood from?
- Tore off part of his ear.Copy !req
430. Give him more pain medicine.Copy !req
431. Titrate 10 of morphine.
Did you lose consciousness?Copy !req
432. - I don't think so.
- Got him, Luka?Copy !req
433. Yeah. Trauma panel...Copy !req
434. - Did you get a good look at him?
- Not really.Copy !req
435. - Yellow windbreaker?
- Yeah. He saw blood on the collar.Copy !req
436. Fossen did this?Copy !req
437. - Just a minute.
- Colby asked him to step out.Copy !req
438. When he opened the door, the guy
smashed our unit and took off.Copy !req
439. Colby's jacket must've got snagged. He
was screaming. He got dragged forever.Copy !req
440. - He didn't stop.
- Where did he get the car?Copy !req
441. Probably boosted it.Copy !req
442. Jeep Grand Cherokee,
first three license numbers G74?Copy !req
443. - That's all I got down.
- Could it be G79?Copy !req
444. - You got him?
- Shots fired at 823 Piedmont.Copy !req
445. Jeep Grand Cherokee parked
at the corner. License number G79-6L5.Copy !req
446. - Woman found down inside.
- Oh, God. Here we go.Copy !req
447. - Easy. Is she dead?
- Called in the paramedics.Copy !req
448. We're all overworked, Robert.Copy !req
449. You can't insinuate you'll fire someone
every time you're frustrated.Copy !req
450. - I'm not. She's fired.
- Robert.Copy !req
451. - Cleaning out her locker right now.
- You can't do that.Copy !req
452. This is a county facility.
Employees cannot be summarily fired.Copy !req
453. She was already on probation
for that other matter.Copy !req
454. She was exonerated.Copy !req
455. And she's had a history of violation
of institutional policy.Copy !req
456. - Like what?
- What do you care?Copy !req
457. She's a good doctor.Copy !req
458. A good doctor who has had 30 delinquent
charts awaiting discharge summaries.Copy !req
459. - So does half the staff.
- She used the telephone watch line...Copy !req
460. - ... for personal calls.
- You're kidding!Copy !req
461. - She yelled at a patient in public.
- You're trying to find a way to fire her.Copy !req
462. There's plenty of documentation that
the disciplinary committee has reviewed.Copy !req
463. - Dr. Weaver.
- Give me a minute.Copy !req
464. - It's Adele. She's been shot.
- What?Copy !req
465. - That maniac shot her at her house.
- The social worker?Copy !req
466. Chest x-ray, T and I spine.Copy !req
467. - Get an ultrasound. Feel this?
- Yeah.Copy !req
468. Did you get a look at the man
who shot you?Copy !req
469. He looked familiar.
He said something about his son.Copy !req
470. We put his son Ben
into protective custody last week.Copy !req
471. - Oh, my God.
- Okay. Adele, can you feel this?Copy !req
472. No.Copy !req
473. Cord injury, 1.8 grams Solu-Medrol
over 15 minutes.Copy !req
474. - Hi, Adele.
- Hi.Copy !req
475. She was shot mid-back.
She can't move her legs.Copy !req
476. White male, late 30s,
yellow windbreaker?Copy !req
477. Yeah. I think so.Copy !req
478. - Any pain in the belly?
- BP, 92/65. Pulse, 110.Copy !req
479. - Any pain in your belly?
- Not really.Copy !req
480. - Could be a pneumothorax.
- Lungs sound good. Pulse ox is 99.Copy !req
481. - For an intra-abdominal bleed?
- There's spinal shock.Copy !req
482. - How did he know where I lived?
- What?Copy !req
483. I only saw him at the hospital.Copy !req
484. - They can find anything on the Internet.
- What?Copy !req
485. - Get someone over to my house.
- What?Copy !req
486. Send someone over to my house now.
1211 Dupont Drive.Copy !req
487. She's still hypotensive.
Want dopamine?Copy !req
488. Start her on five mics.Copy !req
489. Come on, Elizabeth. Pick up.Copy !req
490. Pick up.Copy !req
491. - Does this feel sharp?
- Yes.Copy !req
492. - What's her crit?
- Working on it.Copy !req
493. - How about here?
- Yes.Copy !req
494. - Do you have voice mail or machine?
- Machine.Copy !req
495. - Would she hear you leaving a message?
- I don't know.Copy !req
496. - How about here?
- No.Copy !req
497. Were you already home
or was he waiting for you?Copy !req
498. He came in. I was sitting
at my desk doing my bills.Copy !req
499. Patellar reflexes are absent.Copy !req
500. Dr. Greene, no one's answering the door.
Do you want them to search the house?Copy !req
501. - Yeah.
- They'd have to force entry.Copy !req
502. - Search the house!
- 942, go ahead.Copy !req
503. - Still hypotensive.
- Up her to 10 mics.Copy !req
504. - She needs volume.
- I'm not in yet.Copy !req
505. Adele, can you bend your knee?Copy !req
506. - I can't move it.
- Look, I don't care.Copy !req
507. We may have an emergency
laminectomy. Fine. Check. Go.Copy !req
508. Doc, they'll call it in
when they have it secured.Copy !req
509. - Am I paralyzed?
- Hopefully, it's only temporary.Copy !req
510. - That's it. Give me a new kit.
- Check for sacral sparing.Copy !req
511. Come on, now. Now.Copy !req
512. Set up the microscope.
We're coming up.Copy !req
513. Maybe she went out,
went to the store.Copy !req
514. - Did you page her?
- What?Copy !req
515. - Did you page her?
- No.Copy !req
516. I need you to page Dr. Corday.Copy !req
517. I don't-
I know that! Page her!Copy !req
518. Mr. Jeffries. Mr. Jeffries.Copy !req
519. - What's his HemoCue?
- Down to five.Copy !req
520. - Barely responds to painful stimuli.
- Hang two units of blood.Copy !req
521. - He doesn't want that.
- Where's the consent form?Copy !req
522. - On the cart.
- You can't take him without consent.Copy !req
523. He's unable to give consent now.Copy !req
524. I need two physicians' signatures
for emergency surgery.Copy !req
525. No.Copy !req
526. - You'd have him die?
- I'll respect his wishes.Copy !req
527. Good, Adele. The spinal injury
is incomplete. We can operate.Copy !req
528. - I need an emergency signature.
- Not now.Copy !req
529. IJ's in. Let's get another chest.Copy !req
530. - He's bleeding out.
- Run the Solu-Medrol. 325 an hour.Copy !req
531. - Gunshot wound to the belly-
- Yeah, yeah. Whatever. Whatever. Go.Copy !req
532. Systolic's up to 100.Copy !req
533. All right. Let's get him up.
Can you get a repeat CBC?Copy !req
534. - Whatever you want, Peter.
- I've got my two signatures.Copy !req
535. He made himself clear.Copy !req
536. Look, he has advanced AIDS.
He probably has an HIV encephalopathy.Copy !req
537. No. He was alert and oriented.Copy !req
538. - You should have called Psych.
- I did. They never showed up.Copy !req
539. - Laura called. They're still-
- Damn it!Copy !req
540. - Oh, God! I'm sorry.
- Hold on. Did you cut yourself?Copy !req
541. I don't think so.
The glove just tore there.Copy !req
542. - Peter.
- Hold on. Hold on.Copy !req
543. Let me get some gauze pads.
Come on.Copy !req
544. Let me see it, all right?Copy !req
545. - Oh, God.
- Keep irrigating it.Copy !req
546. - Where are the Zerowets?
- Bottom left drawer.Copy !req
547. Pharmacy? This is Dr. Benton.
I need you to pull a PEP kit for me.Copy !req
548. All right. Use two liters.Copy !req
549. What? No. Look, I'm on my way
up there right now.Copy !req
550. - What about the patient?
- Keep transfusing him.Copy !req
551. - Talk to Neuro?
- They're doing a craniotomy.Copy !req
552. Watch it, Peter.Copy !req
553. I need help with
a thoracic decompression.Copy !req
554. There's a piece of bone in your
mid-back, pressing on your spinal cord.Copy !req
555. That's why I can't move my legs?Copy !req
556. Yes. But if they remove the fragment,
you may recover.Copy !req
557. No one's at your house.
We did a sweep.Copy !req
558. - Check my garage?
- Yeah. Nothing.Copy !req
559. - Call me if you find her.
- Will I be paralyzed?Copy !req
560. - Not if I can help it.
- I still need to talk to you.Copy !req
561. Drop it. It's over.Copy !req
562. - Is my van still there?
- What?Copy !req
563. - The garage. Was my van there?
- Yeah. Yeah.Copy !req
564. - But you have two cars.
- Hers is in the shop.Copy !req
565. - Does she take the baby out?
- She's been going for walks around 3.Copy !req
566. - It's 1:05.
- It depends on the baby's schedule.Copy !req
567. Can you keep a unit there
until she gets home?Copy !req
568. - Nick.
- Yeah.Copy !req
569. - Nick, listen.
- Shot in the head from the back.Copy !req
570. - The guy was riding in the back seat.
- Cab driver on Roosevelt.Copy !req
571. Roger that, 27. Rescue's en route.Copy !req
572. Okay, that'll be us. Can you
give it to Luka? I have to go upstairs.Copy !req
573. - Think it's him?
- Yeah, that's him.Copy !req
574. I can't reach this boy's father.Copy !req
575. - And he's figuring it out.
- Who?Copy !req
576. The neck wound. His mother died.
You need to talk to him.Copy !req
577. I'll be right there.Copy !req
578. Carter, we got a GSW to the head
coming in. I want you to prep Trauma 1.Copy !req
579. - Get Dilantin, mannitol and Decadron.
- ETA?Copy !req
580. - Check with dispatch.
- Ewing seems pretty aggressive.Copy !req
581. We'll need a chest and abdominal CT
to rule out metastatic disease.Copy !req
582. - You sure? It's a soft-tissue mass.
- Extra-osseous. It's rare.Copy !req
583. You might want to write it up.Copy !req
584. - Thank you.
- Want me to talk to the parents?Copy !req
585. He doesn't have any parents.Copy !req
586. Where is she? Where is my mom?
Where is this operation?Copy !req
587. The bullet...Copy !req
588. She was shot in the back.Copy !req
589. The bullet passed through her heart.Copy !req
590. She lost so much blood
that her heart stopped beating.Copy !req
591. We opened up her chest
for an emergency surgery.Copy !req
592. We gave her blood transfusions.Copy !req
593. The best surgeon in the hospital did it.Copy !req
594. She wasn't in any pain.
She didn't suffer.Copy !req
595. We worked on her for a long time.Copy !req
596. We couldn't stop the bleeding.Copy !req
597. And we couldn't get her heart
to beat again.Copy !req
598. Ted, your mother died.Copy !req
599. I'm sorry.Copy !req
600. Here. You need to take these now.Copy !req
601. - Shouldn't we draw baseline labs first?
- No. Now. The sooner the better.Copy !req
602. Peter, two units are in.
I can't get his pressure above 80.Copy !req
603. - All right. Hold on.
- He's already drug-resistant.Copy !req
604. - You don't have a large viral load.
- He does.Copy !req
605. Cleo, listen to me. The conversion rate
with meds is less than 3 in 1000.Copy !req
606. Peter. Crit is 14.
If he's going, he has to go now.Copy !req
607. Okay?Copy !req
608. All right. Get another two units.
I'll meet you at the elevator.Copy !req
609. Call Infectious Disease. See if they need
to modify the post-exposure regimen.Copy !req
610. I'm surprised my code still works.Copy !req
611. - It's not gonna happen, Kim.
- What isn't?Copy !req
612. - They can't let you go, not legally.
- No. They always intended to fire me.Copy !req
613. They would have done it sooner, but they
needed a thick Human Resource file first.Copy !req
614. Which is bogus.
They'll never get away with it.Copy !req
615. - They already have.
- Only if you let them.Copy !req
616. It's not worth the effort.Copy !req
617. I'm not interested in working
for a place that doesn't want me.Copy !req
618. You have the right to due process.
We can find a civil-rights attorney.Copy !req
619. We?Copy !req
620. It's not right, Kim.Copy !req
621. You know why they're firing you.Copy !req
622. You have to fight it.
You have to fight this.Copy !req
623. I'm supposed to fight?Copy !req
624. You're hiding
but I'm supposed to fight.Copy !req
625. Well, I'm sorry.
But I don't want to fight.Copy !req
626. I just want to move on.
So should you.Copy !req
627. Chris and Hillary. It's Mark Greene.
I'm looking for Elizabeth.Copy !req
628. If you see her, could you ask her
to give me a call?Copy !req
629. - Thanks.
- Dr. Greene, we got him.Copy !req
630. He opened fire in Lincoln Park.Copy !req
631. Shot three people before being
taken down by a civilian packing a 9mm.Copy !req
632. - Is he still alive?
- So far.Copy !req
633. - What's he had?
- Two amps of epi and atropine.Copy !req
634. Is this the cabby?Copy !req
635. Shot at the base of his skull.Copy !req
636. - Cleo, jump in on this?
- High cervical injury. Blew out his brains.Copy !req
637. - Cleo!
- Any vitals in the field?Copy !req
638. - No. Just lots of brain matter.
- Any witnesses?Copy !req
639. - No. But we think it was Fossen.
- Well, why?Copy !req
640. 1211 Dupont was the last entry
on the driver's log at 1:14 p. m.Copy !req
641. - What?
- The house you had searched.Copy !req
642. Fossen must have been
on his way over there.Copy !req
643. Cabby probably heard
his description on the radio.Copy !req
644. - Dr. Greene?
- Bang. Fossen blew his brains out.Copy !req
645. - Dr. Greene?
- Don't worry, doc.Copy !req
646. - That means he never got there.
- Dr. Greene!Copy !req
647. He's coming in.Copy !req
648. Was that a record number
of gunshot wounds for one shift?Copy !req
649. By the same guy? Absolutely.Copy !req
650. He has a good chance.
Like you said, you found it early.Copy !req
651. It's more that he has
to go through it alone, you know?Copy !req
652. As if having cancer as a kid
wasn't bad enough.Copy !req
653. He could get passed over
for Chief Resident.Copy !req
654. Or he could get kicked out of med school
and be forced to work as an ER nurse.Copy !req
655. - I was not kicked out.
- What would you call it?Copy !req
656. Suspended for being a deadbeat.Copy !req
657. Do you know he offered
to pay my tuition?Copy !req
658. - Who?
- Luka.Copy !req
659. And I know he means well.
It's just frustrating for me sometimes...Copy !req
660. because I have to explain
my every feeling.Copy !req
661. And normally when you're with someone
for a while, they learn your moods.Copy !req
662. - But he doesn't do that.
- You know what?Copy !req
663. - Stop it.
- What?Copy !req
664. Don't talk to me about Luka.Copy !req
665. I'm not your girlfriend.Copy !req
666. - And I shouldn't even be here with you.
- Why not?Copy !req
667. Because I don't want to wish
bad things for you and Luka.Copy !req
668. And I don't want to sit on the sidelines
waiting for you two to break up.Copy !req
669. And I don't want to be your friend.Copy !req
670. It might be convenient for you,
but it's not doing much for me.Copy !req
671. What are you talking about?Copy !req
672. Where did you put him?
Where did you put my son?Copy !req
673. - How much O-neg do you want?
- Four units.Copy !req
674. - You can't take me from him!
- Quiet! So we can listen!Copy !req
675. - Two entrance wounds on the right.
- One on the left.Copy !req
676. Another two in the belly.
A total of five.Copy !req
677. You. You did this.Copy !req
678. Set up for bilateral chest tubes
and a central line.Copy !req
679. - Systolic's low at 80.
- I'll intubate.Copy !req
680. - This is your fault!
- Ready for the chest tubes.Copy !req
681. Now. Paralyze.
One of Pavulon, 100 of sux.Copy !req
682. You stole my son.
You destroyed my family.Copy !req
683. Ambu-bag.Copy !req
684. He's my son!
What gives you the right to...?Copy !req
685. You can't take my son away!Copy !req
686. It starts with one bad cell that multiplies.
And then it grows out of control.Copy !req
687. You usually don't know it's there until
it is big enough that it causes pain.Copy !req
688. We're very lucky
that we found it today.Copy !req
689. So you're saying I'm lucky I got shot.Copy !req
690. In a way, yeah.Copy !req
691. It's just gonna take longer to die.Copy !req
692. No. That's what I'm telling you.Copy !req
693. Since we caught it early, there's
a good chance that you're not gonna die.Copy !req
694. What's a good chance?Copy !req
695. Seventy percent.Copy !req
696. - You know what 70 percent is?
- Yeah. It leaves 30.Copy !req
697. Well, let's concentrate on
the 70, okay?Copy !req
698. - Dr. Carter, GSW's rolling in.
- Okay. Be right there.Copy !req
699. So, what happens to me now?Copy !req
700. Now I'm gonna have a cancer doctor, an
oncologist, come and take a look at you.Copy !req
701. No. I mean, where do I live?Copy !req
702. I don't know. I'll find out.Copy !req
703. When was your last tetanus booster?Copy !req
704. I don't know. Do I need an x-ray?Copy !req
705. - It looks like just a graze.
- Is that the guy?Copy !req
706. Yes. Multiple GSWs to the chest
and abdomen.Copy !req
707. At the range, they teach you to shoot
for the center mass.Copy !req
708. It's not always fatal
but it takes him down.Copy !req
709. - You shot him?
- I got mugged last year.Copy !req
710. Same park. I don't go there now
without protection.Copy !req
711. He started shooting people!
Someone had to do something!Copy !req
712. We should arm the whole city.Copy !req
713. Hey, I stopped him.
He would have kept going.Copy !req
714. - You're lucky.
- Lucky I was packing.Copy !req
715. - Carter, you free?
- Sort of.Copy !req
716. GSW to the right flank.Copy !req
717. Vitals are stable, but I need you
to check for gross hematuria.Copy !req
718. Okay. I'll be right there.Copy !req
719. - I handed it in to her.
- What?Copy !req
720. Your reference. Should put you
over the top. All fives.Copy !req
721. - Wow! Thanks.
- I had to lie.Copy !req
722. - Now, Carter.
- Coming.Copy !req
723. First two are in.Copy !req
724. Another subclavian.
Put the next two on the infuser.Copy !req
725. - How's the chest tube output?
- Couple hundred cc's.Copy !req
726. - Only 50 on my side.
- Is he gonna make it?Copy !req
727. Probably.
Didn't hit any vital structures.Copy !req
728. - After five shots?
- Some guys get lucky.Copy !req
729. 19 shot. Eight, maybe nine dead.
He's lucky we didn't take him down.Copy !req
730. - Dr. Greene, Dr. Corday's on line four.
- Could you get it for me?Copy !req
731. - Pressure's up to 85.
- 3-0 nylon. What's in the Foley?Copy !req
732. Seventy cc's.
Dips are negative for heme.Copy !req
733. Can you cut this? Elizabeth?Copy !req
734. - Mark, what's going on?
- Where were you?Copy !req
735. I was at the Farmer's Market.Copy !req
736. There were police in the house
and the front door's been kicked in.Copy !req
737. - I told them to.
- Why?Copy !req
738. Long story. Vaseline gauze.Copy !req
739. You're not gonna tell me
what happened?Copy !req
740. Nothing. It's just a bit of a scare.Copy !req
741. - You' re all right?
- Yeah, I'm fine. Call you later?Copy !req
742. - I told the police to stay until I called you.
- Yeah. Yeah, he can go now.Copy !req
743. You' re not gonna tell me
what's going on?Copy !req
744. Not right now. Everything's okay.Copy !req
745. Okay, then.Copy !req
746. - Will you be off at 7?
- Yes. I will be there.Copy !req
747. Okay.Copy !req
748. - I love you.
- Me too.Copy !req
749. Elastoplast.Copy !req
750. Get ready for a portable chest.Copy !req
751. Keep the dopamine at 10 mics. Neuro
checks, 30 minutes. A CBC in an hour.Copy !req
752. - Any cord contusion?
- No, extrinsic hematoma.Copy !req
753. - Did they find Elizabeth?
- She's fine.Copy !req
754. - Good.
- What about her paralysis?Copy !req
755. - Ask me in 24 hours. What's this?
- GSW to the renal parenchyma.Copy !req
756. Marge, clear OR 2.
We got another customer.Copy !req
757. I'll be right back.Copy !req
758. - Robert, I need to talk to you.
- Yeah, sure. Anything but Legaspi.Copy !req
759. You're making a mistake.Copy !req
760. My main mistake was not firing her
three months ago when I first found out.Copy !req
761. - What?
- That she is incompetent.Copy !req
762. - That's not what you were gonna say.
- Really?Copy !req
763. In addition to your diagnostic skills,
you're a mind reader.Copy !req
764. - It's because she's gay.
- Of course I'm not.Copy !req
765. That would be politically incorrect.Copy !req
766. She's a pain in the ass.Copy !req
767. Like Maggie Doyle was?Copy !req
768. - Let's stop right there.
- And avoid your history of discrimination?Copy !req
769. If you don't rethink this, there's a good
chance you'll be out of a job.Copy !req
770. Dr. Legaspi has demonstrated
not only poor judgment...Copy !req
771. but a reckless attitude towards patients
and a blatant disregard for authority.Copy !req
772. She's out. She's fired.
End of discussion.Copy !req
773. - If she goes, I go.
- What?Copy !req
774. You heard me.Copy !req
775. - Are you giving me an ultimatum?
- I swear to God.Copy !req
776. - I will walk out if you don't back off.
- I do not respond well to ultimatums!Copy !req
777. You had better choose your battles
very carefully!Copy !req
778. You're the Chief of Emergency Medicine,
not the county's lesbian advocate.Copy !req
779. That's where you're wrong.
Because I am both.Copy !req
780. I am the Chief of Emergency Medicine,
and I am a lesbian.Copy !req
781. If you pursue this matter, I will take it
to the County Board of Supervisors...Copy !req
782. the ACLU, the press,
and anyone else who will listen!Copy !req
783. So I suggest you choose
your battles very carefully!Copy !req
784. - BP's 100/60.
- Going in the right direction.Copy !req
785. - Last HemoCue?
- 9.5.Copy !req
786. You want me to bring him up?Copy !req
787. - Mark?
- What?Copy !req
788. - You want me to bring him up?
- No, no. I got it.Copy !req
789. They are sending cross-matched
blood to the OR.Copy !req
790. Good.Copy !req
791. Could you bring the chart back down
so I can write my note?Copy !req
792. Sure.Copy !req
793. He's gonna need some more Pavulon.Copy !req
794. Damn it! I forgot the drug box.
Be right back.Copy !req